Organization
ORTHOPEDIC & SPORTS PHYSICAL THERAPY CENTER LLC
Active
Organization
ORTHOPEDIC & SPORTS PHYSICAL THERAPY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NICOLE SHEPPARD (PRACTICE ADMINISTRATOR)
(850) 897-3334
Entity
Organization
Contact information
Practice address
610 HOSPITAL DR, CRESTVIEW, FL 32539-7356
(850) 683-0077
(850) 683-0099
Mailing address
610 HOSPITAL DRIVE, CRESTVIEW, FL 32539
(850) 683-0077
(850) 683-0099
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8913153-02
—
FL
01
—
Y906Y
BCBSFL GROUP#
FL
Enumeration date
06/02/2006
Last updated
04/28/2016
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up